Individual provider Active NPI

Thomas Michael Bebekoski, MD

  • Emergency Medicine Physician
  • Merrillville, IN
National Provider Identifier
1508327933
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01087185A Issued in IN
Practice address
8701 Broadway
Merrillville, IN 46410-7035
Phone
(219) 738-5500
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 26

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Chicago 1,674 clinicians
Cep America LLC 995 clinicians
Clarksville Emergency Group PC 149 clinicians
Emergency Professionals of Indiana PC 118 clinicians

Practice addresses (Care Compare)

10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200

600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000

770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

Hospital & facility affiliations

  • Uchicago Medicine Northwest Indiana Hospital, Crown Point, IN, CCN 150195
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Franciscan Health Rensselaer, Inc Hospital, Rensselaer, IN, CCN 151324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220526001216 MI Practitioner - Emergency Medicine 8921333188 Reassigns benefits to 1 organization
I20220709000639 IN Practitioner - Emergency Medicine 8921333188 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351044810MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jan 5, 2023 Accepting new patients
Professional Emergency Care, PC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 15, 2022 Accepting new patients
University of Chicago CurrentSince Aug 15, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 15, 2022 Accepting new patients
Clarksville Physician Services PC CurrentSince Nov 28, 2023 Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

10855 Virginia St
Ste 1700
Crown Point, IN 46307

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

3800 Saint Mary Rd
Valparaiso, IN 46383
Phone (219) 286-3700

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

38935 Ann Arbor Rd
Livonia, MI 48150
Phone (248) 886-9540

Interoperability endpoints

  • Direct secure messaging: tbebekoski325096@uchospital.direct-ci.com
  • Direct secure messaging: tbebekoski573464@direct.hfhs.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4351044810 MI
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 01087185A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

8701 Broadway
Merrillville, IN 46410-7035

Mailing address

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Other practice location 1

901 MacArthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Other practice location 2

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

Other practice location 3

10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address tbebekoski573464@direct.hfhs.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2024.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1508327933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212901",
            "country_code": "US",
            "telephone_number": "219-836-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15855 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480383504",
            "country_code": "US",
            "telephone_number": "586-263-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10855 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070210",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBEKOSKI",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4351044810",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01087185A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbebekoski573464@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "15855 19 Mile Rd",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.